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NPI Code Detail

MEDICARE: RAYMOND MATTHEW BUENO

MEDICARE:   RAYMOND MATTHEW BUENO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1134062169
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAYMOND MATTHEW BUENO
Provider Business Mailing Address
First Line : 1061 PERUQUE CROSSING CT STE A
Second Line :
City : O FALLON
State : MO
Zip : 63366-2362
Country : US
Telephone Number : 636-234-3052
Fax Number :
Provider Business Practice Location Address
First Line : 1061 PERUQUE CROSSING CT STE A
Second Line :
City : O FALLON
State : MO
Zip : 63366-2362
Country : US
Telephone Number : 636-234-3052
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ RAYMOND MATTHEW BUENO ” Practice Location

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